Abstract

Rhegmatogenous retinal detachment (RRD) could threaten the vision. Therefore, early intervention is crucial. This prospective longitudinal study comprised 156 patients who were treated at the NEH, Sri Lanka. Patients with combined retinal detachments and RRD following trauma were excluded. Data were collected using two interviewer-administered questionnaires and a data extraction sheet. Patients were followed-up at one month and six months post-operatively. Satisfaction was assessed based on a pre-determined scoring system. Factors associated with anatomical and functional outcome were determined using chi-square test. Prevalence odds ratio was used as the effect measure. Significance level was considered as 5%. The data showed that RRD common in older male adults. Most patients (n=118) were had successful retinal re-attachment, while macular-on patients presented a statistically significant successful retinal re-attachment compared to those with macular off (96.0%versus 71.4%, p=0.01). No significant association was seen in relation to age (p=0.59), sex (p=0.89) and presence of co-morbidity (p=0.34). One month following the intervention, a statistically significant decline of BCVA was observed (p=0.000). At six months, there was a significant improvement of vision (p=0.001). BCVA in six months postoperatively was significantly improved with early presentation (p=0.001) and early intervention (p<0.001). In most post-operative patients, both activities of daily living (n=107, 68.6%) and extended activities of daily living (n=125, 80.1%) were affected. Patients with Early presentation (p=0.000), early intervention (p=0.013), macular-on (p=0.04) and absent PVR (p=0.000) showed better activities of daily living. Age (p=0.22) and sex (p=0.53) did not show a significant association. Eighteen (11.5%) out of the 129 patients experienced a well satisfied composite scores change whereas 27 (17.3%) experienced no improvement in satisfaction. Early intervention for RRD has proven better anatomical outcomes. Therefore, should pay attention to reduce waiting time for treating RRD.